Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,248.07 / $15,848.93	Facility		$812.83	$5,248.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $691.83	Professional		$125.89	$199.53	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Professional		$173.78	$173.78	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $363.08	Professional		$131.83	$181.97	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $1,778.28	Facility		$66.07	$104.71	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $416.87	Professional		$141.25	$218.78	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $776.25	Facility		$398.11	$575.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $407.38	Professional		$138.04	$208.93	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $331.13	Professional		$138.04	$177.83	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $407.38	Professional		$120.23	$213.80	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $363.08	Facility		$131.83	$208.93	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $446.68	Professional		$138.04	$213.80	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $660.69	Professional		$407.38	$407.38	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $309.03	Professional		$123.03	$223.87	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,479.11 / $6,025.60	Facility		$426.58	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $331.13	Professional		$109.65	$173.78	$331.13